Goals of Care Conversations

In this episode, Dr. Emily Gutowski interviews Dr. Michael Janjigian about preoperative assessment and perioperative medicine. They discuss the recent updates to perioperative management guidelines, the Revised Cardiac Risk Index (RCRI) and Gupta scores, and integration of laboratory data into preoperative visits. This episode also helps identify patients who may need additional testing prior to surgery.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Allison Greco, pulmonary and critical care specialist at Bellevue Hospital, sits down with Dr. Emily Gutowski and discusses the initial presentation, workup, and management of a patient with a pulmonary embolism. They go through diagnostic modalities, scoring systems, and the various treatment options for patients depending on their risk profile. They discuss provoked vs. unprovoked PEs, and recommendations for longer term anticoagulation.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Navin Kumar, gastroenterologist at Brigham and Women's Hospital, discusses an approach to GERD with Dr. Emily Gutowski, rheumatology fellow at NYU. Together, they discuss "can't-miss diagnoses" on the differential, as well as the pathophysiology and potential etiologies of GERD. Check back in for another episode focusing on endoscopy findings and treatment for GERD! Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Samira Farouk discusses her approach to interpreting urine studies. Together with host Dr. Emily Gutowski, she teaches listeners about the plethora of information that can be obtained from this simple lab test. This episode covers a review of the basics, as well as important caveats to keep in mind. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast kicks off Season 2 of RTL’s partnership with McGraw Hill Medical by chatting with RTL host Blake Smith about pancreatitis. In this episode, Navin brings new content, new pearls, and new tips for trainees (especially for newly-minted interns!) as they approach a case of acute pancreatitis. Together, they walk through the criteria for diagnosing acute pancreatitis: from clinical signs to laboratory and radiographic findings. Navin discusses risk stratification, early management - including aggressive fluid resuscitation and pain control - and etiologies of acute pancreatitis. Lastly, the episode closes with Navin’s pearls about the pillars of pancreatitis management and when to call a consult. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Daniela Lamas, an Instructor in Medicine at Harvard Medical School and an attending physician in Pulmonary and Critical Care Medicine at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in Pulm/CCM. They talk together about the field of Pulm/CCM at large - from outpatient pulmonary clinic (COPD, asthma) to the ICU - in addition to sub-specializing in specific genetic diseases (CF), lung transplants, or interstitial lung diseases. They also talk about what it's been like to be an intensivist during the pandemic as a clinician at the bedside, navigating difficult conversations with families in new formats. They discuss Dr. Lamas’love of writing  as an outlet for patient care in the hospital, and how she serves as a guest contributor to prominent publications, is a writer on the medical TV show “The Resident”, and author of a newly-published book.You can find some of her guest essays in the New York Times here: https://www.nytimes.com/by/daniela-j-lamas Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, continue a discussion of a patient with hypoxia in the setting of acute respiratory distress (from Ep. 73) with RTL host, Dr. Navin Kumar. Together, they talk through ARDS definition, etiology, pathophysiology, and ventilatory support. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Andy Lawton, a palliative care physician at Brigham and Women's Hospital shares with host, Joyce Zhou, the REMAP framework for having effective goals of care conversations with patients with serious illness. Dr. Lawton offers sample language on key components of goals of care conversations such as how to discuss prognoses, respond to emotions, and ask about values. He also reflects on how to best strike a balance between paternalism and patient autonomy during serious illness conversations. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Andrew Coyle, primary care physician formerly at Mount Sinai Hospital and current Program Director of the IM residency at the University of Wisconsin-Madison, gives an overview of a common issue in outpatient medicine: acute back pain. In this conversation with host, Emily Gutowski, Dr. Coyle discusses the broad differential diagnosis of back pain, red flags to look out for, and therapeutic options for patients. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In “Addressing Implicit Bias and Microaggressions,” Jordan Petersen (audio editor, host) speaks with two leaders in diversity, equity, and inclusion: Titi Afolabi, a 4th year Harvard medical student, and Dr. Sherri-Ann Burnett-Bowie, the Director of Multicultural Affairs and an endocrinologist at Massachusetts General Hospital. They explore their definitions for implicit bias and microaggressions, the contexts in which they emerge in medicine, and their own perspectives experiencing and witnessing the harms of them in the hospital and in medical school. They also discuss frameworks for acknowledging and reducing implicit bias and microaggressions and end with key takeaways for listeners. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy